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UPDATES FROM FALLON HEALTH - April 2024

Think Spring!

At last, the sun is up well past 5 p.m., which means winter is behind us! Or does it? 


Despite what the calendar says, we’re still having to bundle up these days. This is what’s affectionately called “fool’s spring” or “spring of deception.” Never fear, my friends… the temperatures will rise, as they always do. Then we’ll be in “actual spring,” when we can trade in the cold-weather coats and knit hats for lightweight jackets and baseball caps. 


Springtime is also a relatively quiet period for our industry, which is great for getting a jump start on preparations for the next AEP. For example, you might explore what’s required for AHIP certification, so you can be ready to sell when the time comes.


It was great to see so many of you take our fun pop quiz in January. Below you’ll find the answers—and learn which quiz taker was randomly selected as the winner of the K-Cafe® SMART Single Service Coffee Maker.


As is the case all year long, our Broker Relations Team is here for you and available to help. You can reach them at 1-844-848-4931 (TRS 711), Monday–Friday, 8:30 a.m.–5:00 p.m., or at MedicareSalesBrokers@fallonhealth.org.


Sincerely,

Deb Daviau

Vice President of Medicare and Executive Director of NaviCare

And the winner is...

Erica Beaudry of Garity Advantage


Congratulations Erica on winning the K-Cafe® SMART Single Service Coffee Maker!


Erica was entered into this giveaway when she completed the Broker Bulletin pop quiz that was shared in the January 2024 edition.

Answers to January's pop quiz questions

Thanks to everyone who took our fun pop quiz in January. Here are the answers (noted in orange):


Which Fallon Health product has the Benefit Bank?

  • NaviCare® SCO and HMO SNP
  • Fallon Medicare Plus™ Medicare Advantage
  • Fallon Medicare Plus™ Supplement
  • Summit ElderCare®
  • All Fallon Health products


How much do NaviCare members get on the Save Now card each year?

  • $0
  • $250
  • $500
  • More than $800


What is Fallon Health's CMS Star rating?

  • 0 Stars
  • 3 Stars
  • 3.5 Stars
  • 4 Stars


Which two actions ARE ALLOWED during the Open Enrollment Period (OEP)?

  • Contacting or calling former enrollees who selected a new plan during AEP
  • Marketing to those who have aged-in to eligibility, are dual-eligibles, or are Low-Income Subsidy
  • Engaging in/promoting activities that intend to target OEP as a way to make further sales
  • Meeting with clients who request a meeting to discuss OEP options
  • Sending unsolicited materials advertising the opportunity to make an enrollment change


What is your favorite health insurance carrier in Massachusetts? Select all that apply.

  • Fallon Health
  • Fallon Health
  • Fallon Health
  • Fallon Health

Medicare enrollment periods

Jan. 1–March 31

Medicare Advantage Open Enrollment Period (OEP)


Medicare Advantage enrollees may do the following:

  • Enroll in a different Medicare Advantage plan
  • Enroll in a Medicare Supplement plan
  • Return to Original Medicare

April 1–Oct. 14

Lock-in period


Individuals cannot enroll in or change plans unless they're turning 65, have a new qualifying medical condition, or qualify for a Special Enrollment Period.

Oct. 15–Dec. 7

Medicare's Annual Election Period (AEP)


Anyone eligible for Medicare can enroll in or change a Medicare Advantage plan or a Medicare Supplement plan, or return to Original Medicare.

Stay connected with Fallon Health

Contact us

Our easy-to-reach Broker Relations team is available to you at every stage of the sales process. We can provide you with personalized support over the phone from Monday–Friday, 8:30 a.m.–5:00 p.m.

1-844-848-4931


You can also reach us by email: MedicareSalesBrokers@fallonhealth.org

Check out our website

Especially our broker webpages. They're full of helpful information.

Streamline your Fallon Health enrollments

Use SunFire. It makes the process easier.

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